RecruitingPhase 3NCT06004856

Evaluate the Efficacy and Safety of Orelabrutinib in Adult Patients With Chronic Primary Immune Thrombocytopenia

A Randomized, Double-blind, Placebo-controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of Orelabrutinib in Adult Patients With Chronic Primary Immune Thrombocytopenia


Sponsor

Beijing InnoCare Pharma Tech Co., Ltd.

Enrollment

195 participants

Start Date

Oct 26, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

A Randomized, Double-blind, Placebo-controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of Orelabrutinib in Adult Patients with Chronic Primary Immune Thrombocytopenia


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria6

  • Subjects have had a detailed understanding of the nature, significance, possible benefits, possible inconveniences, and potential risks of the trial, understood the study procedures, and voluntarily signed a written ICF before the study.
  • Males or females aged from 18 to 80 years (including the marginal values).
  • With a body weight of ≥ 35 kg at screening.
  • In accordance with the diagnosis of chronic (≥ 12 months) ITP
  • Patients who have previously received at least one anti-ITP first-line standard treatment (glucocorticoids and/or intravenous immunoglobulin) cannot maintain efficacy, or relapse, or cannot tolerate standard treatment, or have insufficient response.
  • Females of childbearing potential must use an effective method of contraception during the screening period, throughout the entire trial, and for 90 days after the last administration of the investigational medicinal product (IMP).

Exclusion Criteria19

  • Severe hemorrhage occurred within 4 weeks prior to screening.
  • Subjects suffered from severe ITP at screening and were not eligible for participation in this study as judged by the investigator.
  • Subjects had autoimmune systemic diseases other than ITP unless they would not affect the evaluation of the study results in the judgment of the investigator and sponsor medical monitor.
  • Subjects had multiple immune hemocytopenia.
  • Subjects had inherited thrombocytopenia or secondary ITP.
  • Subjects had a history of arterial or venous thromboembolism within 6 months prior to screening.
  • Received prohibited medications within protocol-specified period before the first dose.
  • Received blood transfusion (including platelet transfusion) within 2 weeks prior to the first dose of the investigational drug.
  • Participated in another study of the investigational drug (and/or investigational device) within 30 days or within 5 half-lives prior to screening (whichever is longer), or is currently participating in another study of the investigational drug (and /or investigational device).
  • The last administration of strong CYP3A inhibitors or strong CYP3A inducers (include food, western medicine, traditional Chinese medicine) is within 14 days (or 5 half-lives, whichever is longer) prior to the first dose, or planned to take a drug or food with a strong inhibition or induction of CYP3A during the study period.
  • Received a major surgery (including splenectomy) or trauma (except biopsy) within 28 days prior to the first dose of the investigational drug, or expected to receive a major surgery during the study treatment period.
  • Received splenectomy and had a prior history of overwhelming post-splenectomy infection (OPSI).
  • Had a history of alcohol or drug abuse currently or within the past 1 year, excepting nicotine and caffeine.
  • Received a COVID-19 vaccine, live vaccine, or live-attenuated vaccine within 1 month prior to screening or during the screening period.
  • Previous exposure to BTK inhibitors.
  • Laboratory results did not meet protocol requirements.
  • Pregnant or lactating women.
  • Subjects whose blood cannot be collected, or who had contraindications for blood collection.
  • Other conditions that were not appropriate for participation in the trial as considered by the investigators.

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Interventions

DRUGOrelabrutinib

Orelabrutinib once daily (QD)

DRUGPlacebo

Placebo once daily (QD)


Locations(45)

The first affiliated hospital of bengbu medical college

Bengbu, Anhui, China

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Beijing CHAO-YANG Hospital Capital Medcal University

Beijing, Beijing Municipality, China

Peking university People's Hospital

Beijing, Beijing Municipality, China

Xinqiao Hospital of Army Medical University

Chongqing, Chongqing Municipality, China

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Zhongshan Hospital Xiamen University

Xiamen, Fujian, China

Gansu Provincial Hospital

Lanzhou, Gansu, China

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Huazhong University of Science and Technology Union Shenzhen Hospital

Shenzhen, Guangdong, China

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

North China University of Science and Technology Affiliated Hospital

Tangshan, Hebei, China

The Second Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

Henan Cancer Hospital

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Tongji Medical College Of Hust

Wuhan, Hubei, China

Yichang Central People's Hospital

Yichang, Hubei, China

Xiangya Hospital Central South University

Changsha, Hunan, China

Chenzhou First People's Hospital

Chenzhou, Hunan, China

The Central Hospital of Yongzhou

Yongzhou, Hunan, China

Affiliated Hospital of Inner Mongolia Medical University

Hohhot, Inner Mongolia, China

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Wuxi People's Hospital

Wuxi, Jiangsu, China

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

The first Hospital of China Medical University

Shenyang, Liaoning, China

Qilu Hospital Of Shandong University Dezhou Hospital

Dezhou, Shandong, China

Qilu hospital of shandong university

Jinan, Shandong, China

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Xi'an Central Hospital

Xi’an, Shanxi, China

The First Affiliated Hospital of Xi 'an Jiaotong University

Xi’an, Shanxi, China

Shaanxi Provincial People'S Hospital

Xi’an, Shanxi, China

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

The Affilated Hospital of Southwest Medical University

Luzhou, Sichuan, China

The Second People's Hospital of Yibin

Yibin, Sichuan, China

Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences

Tianjin, Tianjin Municipality, China

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang Uygur Autonomous Region, China

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

The First Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Zhejiang Provincial Hospital of Chinese Medicine

Hangzhou, Zhejiang, China

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NCT06004856


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